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Contents
xv
32 Pelvic Floor Conditions: Biofeedback . . . . . . . . . . . . . . . . . . . . . . 245
Jennifer S. Beaty and Charles A. Ternent
33 Pelvic Floor Conditions: Fecal Incontinence . . . . . . . . . . . . . . . . 255
Mary T. M. O’Donnell and Joshua I. S. Bleier
34 Pelvic Floor Conditions: Diarrhea. . . . . . . . . . . . . . . . . . . . . . . . . 265
Rebecca Rhee and Anna Serur
35 Chronic Constipation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 271
Paula I. Denoya and Syed K. Abbas
Part IV Rectal
36 Retrorectal Tumors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 281
Eric G. Weiss and Luanne Force
37 Rectal Cancer: Local Therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . 289
David M. Lisle and Dana R. Sands
38 Rectal Conditions: Rectal Cancer—Proctectomy . . . . . . . . . . . . 297
Aaron S. Rickles and Fergal J. Fleming
39 Rectal Conditions: Rectal Cancer—Adjuvant and
Neoadjuvant Therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 303
Terry Zwiep, Julie Ann Van Koughnett, and Patrick H. D. Colquhoun
40 Rectal Conditions: Stage IV Rectal Cancer . . . . . . . . . . . . . . . . . 315
Russell C. Langan and Martin R. Weiser
41 Rectal Cancer: Watch and Wait . . . . . . . . . . . . . . . . . . . . . . . . . . 321
Angelita Habr-Gama, Guilherme Pagin São Julião, Bruna Borba Vailati, and Rodrigo Oliva Perez
42 Rectal Conditions: Rectal Cancer—Postoperative
Surveillance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 327
Daniel I. Chu and Gregory D. Kennedy
43 Recurrent Rectal Cancer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 331
Ian White and Shmuel Avital
44 Locally Advanced Rectal Cancer . . . . . . . . . . . . . . . . . . . . . . . . . . 341
Daniel W. Nelson and Anton J. Bilchik
Part V Colonic
45 Colonic: Diverticulitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 353
Matthew T. Brady and Jason F. Hall
46 Colonic Conditions: Large Bowel Obstruction . . . . . . . . . . . . . . 363
Sarah B. Stringeld and Bard C. Cosman
47 Colonic Conditions: Volvulus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 367
Richard Garnkle and Marylise Boutros
xvi
48 Colonic Stricture . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 375
Estelle J. Williams and Erin O. Lange
49 Acute Colonic Pseudo-Obstruction (ACPO):
Ogilvie’s Syndrome . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 381
Anathea C. Powell and David A. Etzioni
50 Colonic Conditions: Irritable Bowel Syndrome (IBS) . . . . . . . . . 387
Crystal P. Koerner and Patrick S. Sullivan
51 Colorectal Trauma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 393
Sean C. Glasgow and Fia Yi
52 Endometriosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 399
Bidhan Das and Michael J. Snyder
53 Colonic Conditions: Ulcerative Colitis . . . . . . . . . . . . . . . . . . . . . 405
Megan C. Turner and John Migaly
54 Colonic Conditions: Indeterminate Colitis . . . . . . . . . . . . . . . . . . 417
Jon D. Vogel and Mariana Berho
55 Colonic Conditions: Toxic Colitis . . . . . . . . . . . . . . . . . . . . . . . . . 423
Carmen Fong and Benjamin Abbadessa
56 Crohn’s Colitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 431
Meagan M. Costedio and Leonardo C. Duraes
Contents
57 Ischemic Colitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 437
Alodia Gabre-Kidan and David J. Maron
58 Colonic Conditions: Infectious Colitis . . . . . . . . . . . . . . . . . . . . . 441
William C. Cirocco and Shandra R. Day
59 Colonic Conditions: Benign Colonic Neoplasia . . . . . . . . . . . . . . 451
Taryn E. Hassinger and Charles M. Friel
60 Familial Adenomatous Polyposis . . . . . . . . . . . . . . . . . . . . . . . . . . 459
Emily Steinhagen
61 Colonic Conditions: Lynch Syndrome . . . . . . . . . . . . . . . . . . . . . 469
Matthew F. Kalady
62 Malignant Colon Polyps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 479
Andrea M. Petrucci and Mariana Berho
63 Colonic Conditions: Adenomatous Polyps . . . . . . . . . . . . . . . . . . 483
Steven A. Lee-Kong and P. Ravi Kiran
64 Colon Cancer Surgical Therapy . . . . . . . . . . . . . . . . . . . . . . . . . . 489
Lameese Tabaja, Yasir Akmal, and Maher A. Abbas
65 Colonic Conditions: Locally Advanced Colon Cancer . . . . . . . . 503
Najjia N. Mahmoud
Contents
xvii
66 Recurrent Colon Cancer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 511
David Liska and Luca Stocchi
67 Appendiceal Neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 517
Alison R. Althans and Scott R. Steele
Part VI Small Bowel
68 Small Bowel Conditions: Small Bowel Crohn’s Disease . . . . . . . 529
Janet T. Lee and Wolfgang B. Gaertner
69 Small Bowel Desmoid Disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . 539
Jean H. Ashburn
70 Mesenteric Ischemia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 545
Alexis R. Harvey, Alison R. Althans, and Anuradha R. Bhama
71 Small Bowel Conditions: Small Bowel Obstruction. . . . . . . . . . . 551
James P. Taylor and Jonathan E. Efron
72 Small Bowel Conditions: Radiation-Induced Small
Bowel Disease (RISBD): Radiation Enteritis . . . . . . . . . . . . . . . . 557
Guy R. Orangio
73 Enterocutaneous and Enteroatmospheric Fistula . . . . . . . . . . . . 573
Jason R. Bingham and Eric K. Johnson
74 Small Bowel Polyps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 583
Cristina B. Geltzeiler and Matthew G. Mutch
75 Small Bowel Lymphoma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 591
Mahmoud Abu Gazala and Alon J. Pikarsky
76 Small Bowel Conditions: Carcinoid . . . . . . . . . . . . . . . . . . . . . . . 595
Ahmed AL-Khamis and Patricia Sylla
Part VII Stomas
77 Stomal Prolapse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 607
David J. Hiller and Juan J. Nogueras
78 Stomas: Parastomal Hernias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 611
David E. Beck
79 Stoma Retraction and Stenosis . . . . . . . . . . . . . . . . . . . . . . . . . . . 623
James Tankel and Yair Edden
80 Stomal Varices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 629
Sean J. Langenfeld
81 Stomas: Peristomal Skin Complication. . . . . . . . . . . . . . . . . . . . . 635
Alex J. Ky and Nir Horesh
xviii
Part VIII Complications
82 Complications: Ureteral Injury . . . . . . . . . . . . . . . . . . . . . . . . . . . 643
Fiona M. Gaunay, Titilayo O. Adegboyega, Geoffrey S. Gaunay, and David E. Rivadeneira
83 Splenic Injury Complicating Colorectal Surgery . . . . . . . . . . . . 651
Shlomo Yellinek and Petachia Reissman
84 Colonoscopic Complications: Colonic Perforations . . . . . . . . . . . 659
Andrew T. Strong and Jeffrey L. Ponsky
85 Complications: Early Anastomotic Complications—Leak,
Abscess, and Bleeding . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 667
Vahagn C. Nikolian and Scott E. Regenbogen
86 Late Anastomotic Complications (Stricture and Sinus) . . . . . . . 675
David B. Stewart Sr.
87 Post-polypectomy Bleeding . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 681
Avery S. Walker and David A. Margolin
88 Post-polypectomy Complications. . . . . . . . . . . . . . . . . . . . . . . . . . 685
Sandra Rodriguez and Tolga Erim
Contents
89 Presacral Bleeding. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 695
Avery S. Walker and David A. Margolin
90 Complications: Short Gut Syndrome . . . . . . . . . . . . . . . . . . . . . . 699
Ramzi M. Helewa and Robin P. Boushey
91 Complications: Surgical Site Infections . . . . . . . . . . . . . . . . . . . . 711
Elizabeth Arcila and Kyle G. Cologne
92 Ileal J Pouch Complications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 719
Pasha J. Nisar and Ravi P. Kiran
93 Complications: Pouchitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 729
Bo Shen
94 Complications: Reoperative Pelvic Surgery . . . . . . . . . . . . . . . . . 735
Monika A. Krezalek and Neil H. Hyman
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 741

Editors and Contributors

Editors

Scott R. Steele, MD, MBA, FACS, FASCRS Department of Colorectal Surgery, Cleveland Clinic, Cleveland, OH, USA
JustinA.Maykel, MD Division of Colon and Rectal Surgery, Department of Surgery, University of Massachusetts Memorial Medical Center, Worcester, MA, USA
Steven D. Wexner, MD, PhD (Hon), FACS, FRCS (Eng), FRCS (Ed), FRCSI (Hon), Hon FRCS (Glasg) Department of Colorectal Surgery,
Cleveland Clinic Florida, Weston, FL, USA

Contributors

Benjamin Abbadessa, MD Department of Surgery, Mount Sinai Beth Israel, New York, NY, USA
Maher A. Abbas, MD, FACS, FACRS Department of Colon and Rectal Surgery, Digestive Disease Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates
Al-Zahra Hospital - Dubai and King’s College Hospital, Dubai, United Arab Emirates
Syed K. Abbas, MD Department of Surgery, Stony Brook University Hospital, Stony Brook, NY, USA
Titilayo O. Adegboyega, MD, MPH Department of Colorectal Surgery, Northwell Health System, Woodbury, NY, USA
Yasir Akmal, MD, FACS Department of Colon and Rectal Surgery, Digestive Disease Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates
KarimAlavi, MD, MPH, FACS, FASCRS Division of Colon and Rectal Surgery, University of Massachusetts Medical School, Worcester, MA, USA
xix
xx
Ahmed AL-Khamis, MD Division of Colorectal Surgery, Department of Surgery, Icahn School of Medicine at Mount Sinai Hospital, New York, NY, USA
Alison R. Althans, MD Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA
ElizabethArcila, MD Department of General Surgery, LAC + UCS Medical Center/Keck Medical Center, Los Angeles, CA, USA
Jean H. Ashburn, MD Division of Colorectal Surgery, Wake Forest University Baptist Medical Center, Winston-Salem, NC, USA
ShmuelAvital, MD Department of Surgery B, Meir Medical Center, Kfar Saba, Israel
H.HandeAydinli, MD Department of Colorectal Surgery, Cleveland Clinic, Cleveland, OH, USA
Jennifer Ayscue, MD, FACS, FASCRS MedStar Colorectal Surgery Program, MedStar Washington Hospital Center, Washington, DC, USA
DebbieG.Bakes, MD Division of Colon and Rectal Surgery, Department of Surgery, University of Miami Miller School of Medicine, Miami, FL, USA
JenniferS.Beaty, FACS, FASCRS Section of Colon and Rectal Surgery, CHI Bergan Mercy Medical Center, Creighton University School of Medicine, Omaha, NE, USA
Editors and Contributors
DavidE.Beck, MD, FACS, FASCRS Colon and Rectal Surgery, Vanderbilt University, Nashville, TN, USA
Brian L. Bello, MD, FACS Department of Colorectal Surgery Program, MedStar Washington Hospital Center, Washington, DC, USA
MarianaBerho, MD Department of Pathology, Cleveland Clinic Florida, Weston, FL, USA
Mitchell A. Bernstein, MD, FACS, FACSRS Division of Colorectal Surgery, Department of Surgery, New York University Langone Medical Center, New York, NY, USA
Anuradha R. Bhama, MD Division of Colon and Rectal Surgery, Rush University Medical Center, Chicago, IL, USA
AntonJ.Bilchik, MD, PhD Department of Surgical Oncology, John Wayne Cancer Institute, Santa Monica, CA, USA
Jason R. Bingham, MD Madigan Healthcare System, Department of General Surgery, Joint Base Lewis-McCord, Tacoma, WA, USA
Joshua I. S. Bleier, MD, FACS, FASCRS Department of Surgery, Penn Perelman School of Medicine, Philadelphia, PA, USA
Robin P. Boushey, MD, PhD, CIP, FRCSC Department of Surgery, The Ottawa Hospital, Ottawa, ON, Canada
MaryliseBoutros, MD, MSc Division of Colon and Rectal Surgery, Jewish General Hospital, Montreal, QC, Canada
Editors and Contributors
xxi
Matthew T.Brady, MD Department of Surgery, Boston Medical Center/ Boston University School of Medicine, Boston, MA, USA
Daniel I. Chu, MD Division of Gastrointestinal Surgery, Department of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA
William C. Cirocco, MD Head, Section of Colon and Rectal Surgery, Banner MD Anderson Cancer Center, Phoenix, AZ, USA
KyleG.Cologne, MD Division of Colorectal, Department of Surgery, Keck Hospital of USC, Los Angeles, CA, USA
PatrickH. D. Colquhoun, MD, MSc, FRCSC, FASCRS Department of Surgery, London Health Sciences Center University Hospital, London, ON, Canada
BardC.Cosman, MD, MPH Surgical Services, VA San Diego Healthcare System, University of California School of Medicine, San Diego, CA, USA
MeaganM.Costedio, MD Department of Colorectal Surgery, Ahuja Medical Center of University Hospitals, Beachwood, OH, USA
Bidhan Das, MD, FACS Department of Surgery, McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, TX, USA
Jennifer S. Davids, MD, FACS, FASCRS Department of Surgery, University of Massachusetts Memorial Medical Center, Worcester, MA, USA
Shandra R. Day, MD Division of Infectious Diseases, Department of Internal Medicine, The Ohio State University Wexner Medical Center, Columbus, OH, USA
Conor P. Delaney, MD, MCh, PhD, FRCS Department of Colorectal Surgery, Digestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, OH, USA
Paula I. Denoya, MD Department of Surgery, Stony Brook University Hospital, Stony Brook, NY, USA
Kaitlin Domek, MD Department of Surgery, University of Arkansas for Medical Sciences, Little Rock, AR, USA
Leonardo C. Duraes, MD, PhD Ravitch Colorectal Surgery Division, Johns Hopkins Medical Institute, Baltimore, MD, USA
Christopher R. Dwyer, MD Department of Colon and Rectal Surgery, Indiana University, Indianapolis, IN, USA
Yair Edden, MD Department of General Surgery, Shaare Zedek Medical Center, Jerusalem, Israel
JonathanE. Efron, MD Department of Surgery, Johns Hopkins Hospital, Baltimore, MD, USA
AlexandraElias, MD Division of Colon and Rectal Surgery, Mayo Clinic, Jacksonville, FL, USA
xxii
TolgaErim, DO Department of Gastroenterology, Cleveland Clinic Florida, Weston, FL, USA
David A. Etzioni, MD, MSHS Section of Colon and Rectal Surgery, Dignity Health Cancer Center/St. Joseph’s Hospital and Medical Center, Phoenix, AZ, USA
Fergal J. Fleming, MD, FRCS Department of Surgery, University of Rochester Medical Center, Rochester, NY, USA
CarmenFong, MD Department of Surgery, Mount Sinai Beth Israel, New York, NY, USA
LuanneForce, BA, MD University of Miami, Miami, FL, USA
CharlesM.Friel, MD, FACS, FASCRS Department of Surgery, University
of Virginia Medical Center, Charlottesville, VA, USA
Alodia Gabre-Kidan, MD, MPH Division of Colorectal Surgery, Johns Hopkins School of Medicine, Baltimore, MD, USA
WolfgangB.Gaertner, MD, MSc, FACS, FASCRS Division of Colon and Rectal Surgery, University of Minnesota, Minneapolis, MN, USA
Richard Garnkle, MD Division of Colon and Rectal Surgery, Jewish General Hospital, Montreal, QC, Canada
Editors and Contributors
FionaM.Gaunay, MD Colon and Rectal Surgery, Department of Surgery, Penn Medicine Lancaster General Health, Lancaster, PA, USA
GeoffreyS.Gaunay, MD Keystone Urology Specialists, Lancaster, PA, USA
Mahmoud Abu Gazala, MD Department of Surgery, Hadassah Hebrew
University Medical Center, Jerusalem, Israel
CristinaB.Geltzeiler, MD Division of Colon and Rectal Surgery, University of Wisconsin, Madison, WI, USA
Jill C. Genua, MD Division of Colon and Rectal Surgery, Stony Brook School of Medicine, Stony Brook University Medical Center, Stony Brook, NY, USA
SeanC.Glasgow, MD, FACS, FASCRS Department of Surgery, Washington University School of Medicine, St. Louis, MO, USA
Emre Gorgun, MD, FACS, FASCRS Department of Colorectal Surgery, Cleveland Clinic, Cleveland, OH, USA
Michael J. Grieco, MD, FACS, FACRS Division of Colon and Rectal Surgery, New York University, New York, NY, USA
AlexisL.Grucela, MD, FACS, FASCRS Division of Colorectal Surgery, Department of Surgery, New York University Langone Medical Center, New York, NY, USA
AngelitaHabr-Gama, MD, PhD Angelita and Joaquim Gama Institute, São Paulo, Brazil
Editors and Contributors
xxiii
Jason F. Hall, MD, MPH, FACS, FASCRS Department of Surgery, Boston Medical Center/Boston University School of Medicine, Boston, MA, USA
Boston University School of Medicine, Boston, MA, USA
AlexisR.Harvey, BS, MDPH School of Medicine, Case Western Reserve University, Cleveland, OH, USA
University Hospitals Cleveland Medical Center, Medical School, Cleveland, OH, USA
Taryn E. Hassinger, MD Department of Surgery, University of Virginia Medical Center, Charlottesville, VA, USA
Dana Hayden, MD, MPH Division of Colon and Rectal Surgery, Rush University Medical Center, Chicago, IL, USA
RamziM.Helewa, MD, MSc, FRCSC Department of Surgery, St. Boniface General Hospital, University of Manitoba, Winnipeg, MB, Canada
DavidJ.Hiller, MD Novant Health, Winston-salem, North Carolina, USA
RichardS.Hoehn, MD Department of Surgery, University of Cincinnati,
Cincinnati, OH, USA
Nir Horesh, MD Department of General Surgery, Mount Sinai Hospital, New York, NY, USA
JenniferE.Hrabe, MD Division of Colon and Rectal Surgery, University of Iowa Hospitals and Clinics, Iowa City, IA, USA
VanessaW.Hui, MD Department of Surgery, University of Miami, Miami, FL, USA
Tracy L. Hull, MD Department of Colorectal Surgery, Digestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, OH, USA
Neil H. Hyman, MD, FACS Section of Colon and Rectal Surgery, Department of Surgery, Center for Digestive Disease, University of Chicago Medicine, Chicago, IL, USA
EricK.Johnson, MD, FACS, FASCRS Department of Colon and Rectal Surgery, Cleveland Clinic Foundation, Cleveland, OH, USA
Matthew F. Kalady, MD Department of Colorectal Surgery, Cleveland Clinic, Cleveland, OH, USA
Gregory D. Kennedy, MD, PhD Division of Gastrointestinal Surgery, Department of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA
CindyKin, MD, MS Department of Surgery, Stanford University School of Medicine, Stanford, CA, USA
RaviP.Kiran, MBBS, MS, FRCS (Eng) Division of Colorectal Surgery, Columbia University Medical Center and Mailman School of Public Health, New York, NY, USA
xxiv
Center for Innovation and Outcomes Research, New York Presbyterian Hospital-Columbia, New York, NY, USA
CrystalP.Koerner, MD Division of Colon and Rectal Surgery, Department of Surgery, Emory University School of Medicine, Atlanta, GA, USA
MonikaA. Krezalek, MD Department of Surgery, University of Chicago Medicine, Chicago, IL, USA
AnjaliS.Kumar, MD, FACS, FASCRS Department of Medical Education and Clinical Sciences, Washington State University, Spokane, WA, USA
Alex J. Ky, MD, FACS Department of Surgery, Mount Sinai School of Medicine, New York, NY, USA
SebastienLachance, MD, MsC(c) Division of Colorectal Surgery, Jewish General Hospital, Montreal, QC, Canada
RonG.Landmann, MD Section of Colon and Rectal Surgery, Department of Surgical Oncology, Baptist-MD Anderson Cancer Center, Jacksonville, FL, USA
RussellC.Langan, MD Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA
Erin O. Lange, MD, MSPH Colon and Rectal Surgery, SSM Health/St Mary’s Hospital, Madison, WI, USA
Editors and Contributors
Sean J. Langenfeld, MD, FACS, FASCRS Department of Surgery, University of Nebraska Medical Center, Omaha, NE, USA
JanetT. Lee, MD, MS Division of Colon and Rectal Surgery, Colon and Rectal Surgery Associates, Saint Paul, MN, USA
Steven A. Lee-Kong, MD Department of Surgery, Columbia University, New York, NY, USA
DavidLiska, MD Department of Colorectal Surgery, Digestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, OH, USA
DavidM.Lisle, MD Medstar Franklin Square Medical Center for Digestive Disease, Baltimore, MD, USA
NajjiaN.Mahmoud, MD, FACS, FASCRS Division of Colon and Rectal Surgery, Department of Surgery, University of Pennsylvania Health System, Philadelphia, PA, USA
RobertA.Malizia, MD Section of Colon and Rectal Surgery, Department of Surgery, Albany Medical College, Albany, NY, USA
David A. Margolin (Deceased), MD, FACS, FASCRS Ochsner Clinical School, New Orleans, LA, USA
DavidJ.Maron, MD, MBA Department of Colorectal Surgery, Cleveland Clinic Florida, Weston, FL, USA
DipenC.Maun, MD Franciscan Alliance Hospitals, Indianapolis, IN, USA